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Remote Associate Medical Director - Health Plans

Company: Clinical Management Consultants
Location: Portland
Posted on: April 2, 2024

Job Description:

A -reputable, non-profit health system is currently seeking a Remote Health Plans Associate Medical Director! This exciting opportunity for a Remote Associate Medical Director of Health Plans is a full-time, work from home position. This opportunity is with an award-winning, highly-sought after multi-campus health system. This organization has a large presence in the state of Oregon. -In this role as Associate Medical Director - Health Plans, this leader will be tasked with leveraging clinical expertise and system improvement skills to implement Clinical Service Programs especially focused on Care Coordination, Case Management, and Utilization Review. Responsibilities encompass ensuring compliance, navigating Oregon Administrative Rules (OARs), and driving system transformation with a specific emphasis on integrating whole person health. The position requires a deep understanding of Medicaid, Medicare, continuum of care, state and Coordinated Care Organization (CCO) regulations, and the ability to identify gaps for constructive support and change.Ideal qualifications for the -Remote Health Plans Associate Medical Director include an unencumbered MD or DO license. A successful completion of a residency program in a primary care specialty, such as Family Medicine, Internal Medicine, or Pediatrics, is required, with preference given to those with Board Certification. Consideration will also be extended to candidates with backgrounds in Psychiatry and OB/GYN. A minimum of five (5) years of clinical practice experience is essential, though exceptions may be made for individuals with equivalent health plan experience. Ideal candidates will bring leadership experience in a managed care system and demonstrate familiarity with community or migrant health centers. Moreover, a proven track record in the development and implementation of effective healthcare policy, particularly in the realms of quality monitoring, medical appropriateness, and utilization of healthcare services, is preferred. Additionally, possessing additional business-related degrees or training would be strongly advantageous for prospective applicants.This organization is open to considering remote candidates residing in various states, including Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin.Furthermore, the Health Plan associated with this medical center provides health insurance options to employees, community employers, and Medicare/Medicaid members. Operating under different legal structures, the -Remote Associate Medical Director of Health Plans manages a portfolio of health plan products, ensuring comprehensive coverage and care. Interested candidates are encouraged to submit their resume.This is an exciting and rare remote leadership opportunity with a highly-sought after -healthcare -organization in Oregon. This is an opportunity you don't want to miss, apply today!CMC is honored to be named one of the fastest growing private companies in the United States.Clinical Management Consultants, Inc. announces expanded national coverage for temporary healthcare contract workers at hospitals in response to COVID-19.Clinical Management Consultants announces it's 4th regional division office to be located in Austin, TX!Portland Oregon will become the company's 3rd branch location and will readily connect into the national CMC recruitment network. Led by a veteran CMC recruiter, this expansion effort is expected to come together quickly pacing for a November 2018 launch.For the 3rd year in a row, Clinical Management Consultants has earned distinction as one of America's fastest growing companies.

Keywords: Clinical Management Consultants, Portland , Remote Associate Medical Director - Health Plans, Executive , Portland, Oregon

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